Patients presenting with SHS typically can voluntarily elicit the snapping of the hip when flexing the hip and/or externally rotating the joint. More commonly found in females, this type of snapping is not painful and does not need intervention. However, more severe cases of snapping hip can increase the risk of joint damage, especially for athletes. There are three main types of Snapping Hip Syndrome.
It has been shown that for athletes particularly dancers and gymnast, this clinical condition can cause pain and affect their overall performance. Most commonly, it occurs as an overuse syndrome, so for the dancers and gymnasts, they are very often using their hip flexors and overusing their hip flexor muscles, which then secondarily tends to irritate the main flexor tendons of the joint and cause irritation. In particular for ballet dancers, internal snapping hip is the more frequent type of snapping hip due to the amount of emphasis placed on external rotation. The anatomical positioning required by dance often creates muscle imbalances at the hips of most dancers because dance emphasizes gross motions of hip external, rotation, flexion, and abduction. Most dance regimens do not address hip internal rotation and adduction or lack thereof. Therefore, overtime this can lead to shortening of the prime movers with weakening and lengthening of their antagonistic muscular counterparts. The prevalence of snapping hip in the dance community is an important reminder that dance training alone, especially with ballet technique, may not be enough to build well-balanced strength and musculature. The treatment options depend on presence of symptoms; asymptomatic patients require no treatment. Those with pain should be encouraged to rest and enroll in a rehabilitation program. Many other modalities of treatment are used to treat this clinical condition but there is no evidence that one is better than the other. Surgery is the last resort treatment and should only be considered once conservative treatment has failed. Non-Surgical Treatment Options
Surgical Treatment Options
How do you address snapping hip syndrome in your athletes?
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April 2022
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